Much to Do About Trauma: A Systematic Review of Existing Trauma-Informed Treatments on Youth Violence and Recidivism

2020 ◽  
Vol 19 (1) ◽  
pp. 113-134 ◽  
Author(s):  
Haley R. Zettler

Research has demonstrated a relationship between childhood trauma, violence, and justice involvement. As juvenile justice systems have become more attune to the needs of traumatized youth, a number of trauma-informed treatment programs have been developed to mitigate the effects of trauma. Evaluations of trauma-informed treatment demonstrate their effectiveness in reducing trauma-related symptoms. Further, prior research has found that trauma-informed treatment can reduce behavioral infractions and institutional violence. While there is indirect evidence that trauma-informed treatment reduces juvenile violence and recidivism, no research to date has assessed trauma-informed treatment on behavioral outcomes outside of residential facilities. This systematic review provides an overview of the use trauma-informed treatment in juvenile justice settings and provides recommendations for practice and future research.

2021 ◽  
pp. 215336872098889
Author(s):  
Lynn A. Addington

A punitive legacy of the responses to school shootings in the United States is the expansion of exclusionary discipline. Black girls have disproportionately experienced this form of punishment as compared to white girls and non-Black girls of color. A small, but growing, body of research has examined the patterns and causes of this disparity. Current studies have made suggestions for possible solutions to address this disparity, but these recommendations are not readily accessible in a single location. A catalogue of these ideas could provide a useful foundation for policy development and evaluation. The present research note seeks to generate this resource by conducting a systematic review to identify and categorize recommendations aimed at reducing the discipline disparity experienced by Black girls. Based on this review, four categories emerged that center around: (1) culturally competent school programs, (2) enhanced teacher training, (3) spaces at school for empowering Black girls, and (4) trauma-informed student policies. This research note discusses these categories of recommendations using an intersectional framework and concludes with a summary of next steps to guide future research and policy work to address the disproportionate use of exclusionary discipline against Black girls.


2021 ◽  
pp. 108705472097855
Author(s):  
Upasana Bondopadhyay ◽  
Unai Diaz-Orueta ◽  
Andrew N. Coogan

Objective: Children and adults with ADHD often report sleep disturbances that may form part of the etiology and/or symptomatology of ADHD. We review the evidence for sleep changes in children with ADHD. Methods: Systematic review with narrative synthesis assessing sleep and circadian function in children aged 5 to 13 years old with a diagnosis of ADHD. Results: 148 studies were included for review, incorporating data from 42,353 children. We found that sleep disturbances in ADHD are common and that they may worsen behavioral outcomes; moreover, sleep interventions may improve ADHD symptoms, and pharmacotherapy for ADHD may impact sleep. Conclusion: Sleep disturbance may represent a clinically important feature of ADHD in children, which might be therapeutically targeted in a useful way. There are a number of important gaps in the literature. We set out a manifesto for future research in the area of sleep, circadian rhythms, and ADHD.


CJEM ◽  
2009 ◽  
Vol 11 (02) ◽  
pp. 161-168 ◽  
Author(s):  
Carolyn Snider ◽  
Jacques Lee

ABSTRACTObjective:Youth violence continues to trouble Canadians. Emergency department (ED) visits by youth after a violent injury may represent a “teachable moment,” and thus secondary violence prevention interventions may be effective. We conducted a systematic review to identify the success rates of any interventions, the populations likely to benefit and the outcome measures used.Data source:We searched 8 databases (i.e., MEDLINE, EMBASE, PubMed, CINAHL, the Cochrane Database of Systematic Reviews, the ACP Journal Club, DARE and CENTRAL).Study selection:Studies were included if they described and evaluated an intervention, were health care–based and targeted youth who were injured by violence. Two blinded investigators selected 15 articles from 181 abstracts. After full-text review, 8 articles were excluded, leaving 7 articles from 4 intervention programs.Data extraction:All interventions used ED case management of the violently injured patient. One randomized control trial (RCT) demonstrated a significant reduction in reinjury rates (treatment group 8.1% v. control group 20.3%,p= 0.05). Another small RCT found no statistically significant reductions in repeat violence or service use. One retrospective cohort study demonstrated a lower relative risk (RR) in future criminal justice involvement (RR = 0.67, 95% confidence interval 0.45–0.99). A retrospective study of pediatric patients with violent injuries found only 1% of these youth returned with injuries as a result of repeat violence.Data synthesis:Although all 4 case management interventions that we reviewed showed promise in the United States, small sample sizes and incomplete follow-up limited their ability to demonstrate significant decreases in reinjury.Conclusion:Future research is necessary to help EDs capitalize on the opportunity to effectively reduce youth violence.


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